Tuesday, March 29, 2011
Today in clinic, I saw a patient who'd just gotten out of the hospital following a bought with Salmonella.  He lost 37 pounds in one week.

And then I came home and made dippy eggs for dinner.

If I get sick tomorrow, I'm going to seriously regret not paying more attention to lessons learned from my patients...  But they sure were good dippy eggs.
Monday, March 28, 2011
Funny story.  I got some papers in the mail the other day, and these papers required my signature many many times.  This is, in general, not a problem.  I'm pretty competent at signing stuff, even though it looks not so much like my name, and more like a K with a swoosh followed by an S with a swoosh (sorry mom).  Here, I'll show you...
I cut the front half off, assuming it's not a good idea to post one's full signature online.

Unfortunately, they through a knot in my normal signature making...

They wanted me to put an MD after it. 


Signing something is an automatic swish of the hand, no thought required.  You can't change it!  Adding something to it just becomes unnatural.  It's like trying to copy someones signature while looking at an original.  Not that I've ever done that.  But I imagine it would take a lot of thought, and end up looking like you did if after downing a quadruple espresso and some chocolate covered coffee beans. 

So, in an effort to maintain the authenticity (and credibility) of my signature, I left the MD off.  For now. 

But I suppose I'll have to practice, in preparation for July.  And the rest of my life. 
Thursday, March 24, 2011
Do you get knots in your muscles?  Or are you sore and tight after a particularly hard workout and you wish there was a way to speed up the muscle recovery?  Or do you just feel lazy simply sitting in front of the TV watching glee, and you want to do something to make you feel better about yourself and your fitness....

Well, have no fear!  TriggerPoint products are here!

This product has me at it's name.  Personally, I think that if I ever had a single trigger point injection, it would be like crack and I'd never be able to stop.  Not that I'm opposed to someone sticking a small needed into a very angry little muscle spasm... it's just hard to do alone, in front of the TV.  And that's why TriggerPoint therapy exists!  The premise (as I understand it) is this.  Exercise can and does create trigger points of focal muscle spasm that 1) hurt, and 2) decrease flexibility and muscle performance.  If you can release these spasms, blood flow to the muscle increases, pain decreases, and performance improves.  Traditional stretching, while still good as a general practice, is not the best way to release these focal spasms.  It's like trying to get rid of a knot in a rope by pulling on it... not gonna do the trick.  Instead, you've got to work it around until it breaks free.

Enter: Trigger Point.  The products (in the starter kit, that includes the footballer, baller block, and massage ball)  are designed to provide focal pressure for a short amount of time to trigger points, releasing them and allowing the muscle to stretch and relax.  To do this, you place you leg (in the case of the footballer), back (in the case of the massage ball), or other muscle that hurts if you have more equipment, onto the appropriate device, roll it around until you find that spot that hurts, and let it rest there with gentle pressure until you feel the pain release. 

It's wonderful, I love it, and I want more.  Like, one for each leg, two massage balls, and the bigger one for quads, hammies, back, and such.  I love that it's a great way to target trigger points at home. 

So far, I've used it a couple times and am a big fan of the results.  Sometimes my back and shoulders get so tight my fingers tingle, and I just can't get comfortable.  It's hard to use my other hand to try and hit some trigger points, and the massage ball works great! 

If you do any sort of exercise that leaves you feeling sore, I recommend you invest in these products.  I do say invest, because they are a bit pricey.  But from what I can tell so far, the quality is excellent, and they work.  In my opinion, that makes them worth the money!

For more info on these products, and others they offer, head on over to their website here

Adventure on!
Tuesday, March 22, 2011
Today I went to Harris Teeter to get a sandwich for lunch.  I fully expected to get my turkey sandwich (which, PS, had a gigantic pile of turkey on it), and a tiny cup of potato salad.  When I got back to the office and opened it up, there was a surprise pickle spear all wrapped up in paper sitting next to my sandwich.


Meal changing. 

I love finding surprise pickles next to deli sandwiches.  Sometimes, they're just sneakily tucked beside a sandwich on a plate.  Sometimes, they're wrapped up in paper at the bottom of the bag. 

Speaking of pickles, have you tried fried pickles?  They are super-delicious... I think they're a southern thing.  You should try them.  But when you fry them, pickles don't really have the same, "hey, I'm a surprise pickle in your lunch, and I'm a healthier alternative to the surprise cookie that you don't need" kind of roll in life.

So maybe I'll just stick with deli paper wrapped surprise pickle spears.

Because they make me so happy.
Sunday, March 20, 2011
Yesterday I spent all day at the App State bike race in Wilksboro.  After a couple of the guys finished their first race, they went on the hunt for food, and I came along to hunt for a bathroom.  After stopping at Subway, we ran into this car in the parking lot (and by ran into, I mean saw drive by, not actually hit...)

Let's zoom in on the license plate for a closer look...
Okay, so here's my thought.  If you drive an old beat up ford mustang, and you choose to put a decorative license plate frame on your car, especially if this frame has a skull on it, you should make sure that the grammar isn't blatantly poor. 

Faster THEN you???  Really? 

Grammar is a lost art.  At least he used real words, and it doesn't say, "Fastr then U"...
Saturday, March 19, 2011
And it's about becoming a doctor.  And so you shouldn't be shielded from the realities of it.  I wouldn't want to be accused to portraying a false picture of reality...

Also, since this is my blog, I can say whatever I want on it.  And, since it's called "Human, MD", I get to be human.  So I'm going to do that.

In the form of a letter.  Because I like speaking in letter form.  No, really, sometimes I speak out loud in letter form.  Usually to people in other cars on the highway, or to God.  But this is not to those folks. 


Dear program that I ranked first,

I would like to congratulate you on some major accomplishments.  Few people can claim to have accomplished these things, and I think you deserve some recognition. 

First of all, you successfully made me not hungry.  That pretty much takes an act of God.  I'm always hungry.  Well, I always eat.  But not since Thursday afternoon have I really cared much to eat.  Not even the baked cheetos that are sitting on my counter.  Uninterested.  This is really quite remarkable.  Please take note. 

Secondly, you made me cry.  This is generally a feat reserved for dad's on Extreme Makeover: Home Edition and people with eye injuries.  And the part of The Lion King where Simba's dad dies, and the part of The Land Before Time (the original...) when Littlefoot's mom dies.  Those are usually just a few tears though.  You successfully moved me passed "I can probably keep these tear from actually falling out of my eyes if I try hard enough" to "I think I'm going to need to go to Target and get another box of tissues and a decongestant".  Congrats for that.  Those who think I'm emotionally elusive will be pleased to know that I'm currently an open emotional book.  Please, ask me a question.  You'll get a great answer.  (PS.  To do that, you have to actually talk to me, and not my friends...)

And finally, you successfully messed up my sleep cycle.  In general, Wyatt and migraines are the only things that can do that.  But last night I woke up in the middle of the night, couldn't fall back asleep, and took Benadryl at 2am.  That, my friends, is not cool.  I value my ability to always sleep through the night.  You messed it up.  Yay you. 

So rejoice in the things you have accomplished.  You have a lot to be excited about.  You did, after all, fill faster than you ever have.  I know you're celebrating. 

See you in three years.



Okay, so in non-letter form, I should add to this that I really love the program I will be going to.  I flip flopped back and forth between 1 and 2 a lot.  So all the things I talk about it my letter have nothing to do with the program I'm going to, and everything to do with the program I'm not going to.  Which programs are these, you ask?  Number 1 you will never know.  Number 2 you will find out some time in the future.  The future being when I move there.  In May.  I know the anticipation is killing you. 

Until then, I'll return to your normally scheduled programming of gear posts and things I love. 

Stay tuned,
Wednesday, March 16, 2011
Today was supposed to be a day off, but instead I'm spending it on the labor and delivery floor waiting to watch babies be caught.  We have a thing called the "procedures curriculum", which details the types and numbers of procedures we're expected to do through medical school.  Our class was the first they're trying it out on, and what was originally presented to us as, "here's an idea of what we expect you'll be able to do", turned into, "you have to do all of this before you can graduate"...  Which we found out in December.  Huh.

So, when I was on Ob/Gyn in Feburary last year, I spent my time following MY patients, going to see their deliveries, which happened to mostly be c-sections.  Fast foward almost a year, and I find out I really need to see a certain number of vaginal deliveries to graduate.  Had I know that LAST February, I would have abandoned my own patients in order to watch other people patients deliver.  You've gotta do what you've gotta do to meet the graduation requirement numbers.  But, since I didn't know until 10 months later, here I am, making it up during the end of 4th year, when I could actually be learning something. 

I'm a little bitter about this.

But I'll do it anyway.  Because it would be sad to have $250,000 of debt, and not be able to graduate because I didn't watch a baby be delivered, or put a foley in someone.
Monday, March 14, 2011

I just don't find out WHERE (the important part) until Thursday at noon...  I don't like this system!

Also, I started my last rotation of medical school EVER.  Well, I have senior seminar for a couple weeks.  But that doesn't really count....

And, I bought a pillow!  It looks like this...
I promise it's more exciting that you might think...

Off to play in the championship intramural basketball game!  We'll see how this goes...

If we win, I get a(nother) free t-shirt!  Which I definitely need more of.....


Thursday, March 10, 2011
I read this story on CNN this morning, and it made me laugh. 

Clipping In, Falling Off

When I first got a bike with clipless pedals, people (like all the people I talked to...), told me I would fall over at least once.  It's requisite for being clipped in.  Naw, I thought, I'll be fine.  I'll remember to unclip. 

The first time I fell over was at the bottom of a hill at a stop light.  I was more focused on the light (because right after it was an uphill, and I REALLY wanted to carry my momentum from the downhill into the uphill), and didn't pay attention to unclipping as I came to a stop at the red light.  I unclipped one foot, and leaned the other direction.  And fell over.  Into the street.  It was extraordinarily graceful.

Since then, I've told everyone who uses clipless pedals that they will fall at least once.  And they all say, "no, no, I'll be fine".  And then they fall over.

It just happens.  About that time you are comfortable enough to think it's second nature, but before it actually BECOMES second nature.  As far as falling off a bike goes, though, doing it from a virtual standstill is pretty safe.

Here's a fall from a cyclists perspective...

But it's worth it... in the end.
Wednesday, March 9, 2011
I've been on a sports medicine rotation for the last 3.5 weeks.  This generally involves rotating between clinics of the three sports medicine attendings, training rooms, teaching time, and event coverage.  But yesterday we spent the afternoon over at the hospital covering the family medicine inpatient service.  The residents had a seminar all afternoon, which left the attending all alone with a lot of patients... so we went over to substitute doctor.

When you haven't done inpatient medicine in about 6 months (or really even general family medicine...), you forget a lot!  The service census was high (lots of patients), and many of them were complicated.  It was a nice refresher to do some plain old general medicine, but I'm definitely going to need a little brushing up before I start intern year!

I've got a little free time this week, so look out for a gear post today... it's been a while since I posted one!

Sunday, March 6, 2011
Boy, has it been a busy week!  Sorry I went MIA, but I had lots of work to do.

Monday night I had a presentation moved up from next Friday to this past Friday.  Four days is plenty of time to get it done, so it certainly wasn't a big deal, but it did mean that I had to work on it all week!  So I was doing that, and not talking to you people.  Sorry.

And then, on Wednesday night, while working on said presentation (which, PS, was about hip injuries), I got a virus.  A computer eating death virus.  My computer screen looked like this. 

Uh oh. 

Thanks to some helpful hints, I successfully got rid of the virus (4.5 hours later...), and salvaged my presentation (I temporarily thought it was gone... which would have been seriously sad). 

Everything turned out a-o-kay though, and I think it went well on Friday...

This weekend has been rainy and relaxed.  Friday night I went to a soccer game, they yesterday I went to a rugby game.  Today I've been doing nothing, really.  Except folding about 5 loads of laundry, and doing dishes.  Oh, and making these.

Pumpkin cookie ice cream sandwiches.  I haven't tried one yet, but I predict they will be delicious.

Have a good night!

About Me

I am a Family Medicine intern at a community hospital in Indiana, navigating the new world of being a physician. I am privileged to work in a field I love, where every day is a new and unpredictable challenge.
I am not only a doctor, but also a cyclist, runner, DIYer in the making, lover of the outdoors, traveler, and human.
Human, MD is a glimpse into the world of a young doctor who is just trying to stay true to herself through the grueling whirlwind of residency.


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